NPIMap

Individual provider Active NPI

Kevin M Matteson, M.D.

  • Surgery Physician
  • Cortez, CO
National Provider Identifier
1407853013
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0039709 Issued in CO
Practice address
1311A N Mildred Rd
Ste a
Cortez, CO 81321-2231
Phone
(970) 564-2681
Fax
(970) 564-2682
NPI assigned
Jun 29, 2005
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0039709 CO Primary

Addresses

Primary practice location

1311A N Mildred Rd
Ste a
Cortez, CO 81321-2231

Mailing address

1311A N Mildred Rd
Cortez, CO 81321-2231

Other identifiers 1

IdentifierTypeStateIssuer
40984567MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kevinmatteson@swhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919000165 CO Practitioner - General Surgery 0244124618 Reassigns benefits to 2 organizations
Practice locations: Cortez, CO

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Southern Illinois University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Health System IncGroup PAC ID 5890699326, 51 clinicians

Practice addresses (Care Compare)

1311 A N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-8556

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
97.98
Promoting interoperability
79
Improvement activities
40
Cost
62.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux52
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0039709COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health System, Inc. Current Accepting new patients
Southwest Health System Inc Surgery CurrentSince Apr 1, 2018 Accepting new patients
Livingston Healthcare Past Accepting new patients
Utah Navajo Health System, Incorporated Family Medicine Past Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients

Locations

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

1311 N Mildred Rd
#A
Cortez, CO 81321
Phone (970) 565-8556

1311 N Mildred Rd
Ste A
Cortez, CO 81321
Phone (970) 564-2681

Interoperability endpoints

  • Direct secure messaging: kevinmatteson@swhealth.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1407853013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311A N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311A N MILDRED RD",
            "address_2": "STE A",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-564-2681",
            "fax_number": "970-564-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0039709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40984567",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevinmatteson@swhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "SMG Specialty Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311A N Mildred Rd",
            "address_2": "Ste A",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.